| NPI | 1871685792 |
|---|---|
| Former Name | SANDY MARIE GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH rn.254376-coa1) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH RN.254376-C0A1) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: OH RN.254376-C0A1) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-03-17 |